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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73491/psn-pdf
    July 14, 2021 - Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. July 14, 2021 Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. Jt Comm J Qual Patient Saf. 2021…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41389/psn-pdf
    June 27, 2012 - Can we make postoperative patient handovers safer? A systematic review of the literature. June 27, 2012 Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:10.1213/ANE.0b013e318253af4b. https:/…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42084/psn-pdf
    July 02, 2014 - Promoting a culture of safety as a patient safety strategy: a systematic review. July 2, 2014 Weaver SJ, Lubomksi LH, Wilson RF, et al. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):369-74. doi:10.7326/0003-4819-158-5-201303051- 00002. https://ps…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60973/psn-pdf
    September 30, 2020 - During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. September 30, 2020 ISMP Medication Safety Alert! Acute care edition. August 27, 2020;25(17). https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid- blaming-attitudes …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48073/psn-pdf
    June 19, 2019 - Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. June 19, 2019 Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308. https://psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions- advance-surgical Surg…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47158/psn-pdf
    August 15, 2018 - A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. August 15, 2018 Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;13(4):233-238. doi:10.1097/SIH.00…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74269/psn-pdf
    January 19, 2022 - Safety culture, safety climate, and safety performance in healthcare facilities: a systematic review. January 19, 2022 Noor Arzahan IS, Ismail Z, Yasin SM. Safety culture, safety climate, and safety performance in healthcare facilities: A systematic review. Safety Sci. 2022;147:105624. doi:10.1016/j.ssci.2021.10562…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861283/psn-pdf
    January 24, 2024 - What and when to debrief: a scoping review examining interprofessional clinical debriefing. January 24, 2024 Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1136/bmjqs-2023-016730. https://p…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60152/psn-pdf
    March 25, 2020 - Errors during resuscitation: the impact of perceived authority on delivery of care. March 25, 2020 Delaloye NJ, Tobler K, O?Neill T, et al. Errors during resuscitation: the impact of perceived authority on delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000359. https://psnet.ahrq.gov/issue/e…

  10. In Conversation With… Rebecca Smith-Bindman, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
    October 01, 2013 - sufficient for accurate diagnoses and the guidance of interventional procedures.( 15 ) Moreover, communicating

  11. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet

    psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
    May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 3, 2021 Innovation…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49675/psn-pdf
    February 01, 2013 - Delay in Treatment: Failure to Contact Patient Leads to Significant Complications February 1, 2013 Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complicat…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49708/psn-pdf
    May 01, 2014 - Medication Reconciliation With a Twist (or Dare We Say, a Patch?) May 1, 2014 Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch Case Objectives Appreciate that medication discrepanc…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72689/psn-pdf
    January 29, 2021 - But See the Patient First January 29, 2021 Sinigayan VR. But See the Patient First. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/see-patient-first The Case   A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief complaint of fever. Five days previously, he …

  15. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet

    psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
    March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. Citation Text: Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49527/psn-pdf
    December 01, 2006 - Right Patient, Wrong Sample December 1, 2006 Astion ML. Right Patient, Wrong Sample. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-patient-wrong-sample The Case A 54-year-old man was admitted to the hospital for preoperative evaluation and elective knee surgery. On the morning of surgery, the patien…

  17. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet

    psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
    December 23, 2020 - SPOTLIGHT CASE Recurrent Hypoglycemia: A Care Transition Failure? Citation Text: Eytan T. Recurrent Hypoglycemia: A Care Transition Failure?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format:…

  18. The Safety and Quality of Long Term Care | PSNet

    psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
    January 01, 2016 - SPOTLIGHT CASE The Safety and Quality of Long Term Care Citation Text: Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Goog…

  19. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout | PSNet

    psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
    January 22, 2020 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout Citation Text: Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867447/psn-pdf
    January 08, 2025 - The influence of hospital physician integration on culture of patient safety. January 8, 2025 Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280. https://psnet.ahrq.gov/issue/influence-hospital-phy…
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